28. Maternal morbidity

Check all boxes that apply.

If the mother has none of the complications, check “none of the above.”

See below

1st Delivery record under –

• Labor summary
• Delivery summary

2nd Physician delivery notes or Operative notes

3rd Intake & output form

Transfused

Blood transfusion

• Look for:
  PRBC – Packed red blood cells

Whole blood

3° laceration extends through the perineal skin, vaginal mucosa, perineal body, and partially or completely through the anal sphincter.

4° laceration is all of the above with extension through the rectal mucosa.

• Episiotomy section
• Lacerations section

2nd  Recovery room record under – Maternal data – Delivered

4th degree lac.

4° LAC degree

3rd degree lac.

3° LAC degree

3a

3b

3c

Tearing of the uterine wall. Uterine rupture is a full-thickness disruption of the uterine wall that also involves the overlying visceral peritoneum (uterine serosa).

Does not include uterine dehiscence (window), in which the fetus, placenta, and umbilical cord remain contained with the uterine cavity. Does not include a silent or incomplete rupture or an asymptomatic separation.

1st  Delivery record under – Delivery summary note – Comments/ Complications

2nd  Operative note

3rd  Physician progress note

Surgical removal of the uterus that was not planned before the admission.

Includes an anticipated, but not definitively planned, hysterectomy.

1st  Delivery record under – Delivery summary note – Comments/ Complications

2nd  Operative note

3rd  Physician progress note

Hysterectomy

• Look for:
  laparotomy

1st  Physician progress note

2nd  Transfer note

ICU – Intensive care unit

MICU – Medical intensive care unit

SICU – Surgical intensive care unit

L&D ECU – Labor and delivery emergency care unit